medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 12, 2023
Abstract
Single-value
scores
reflecting
the
deviation
from
(FADE
score)
or
similarity
with
(SAME
prototypical
novelty-related
and
memory-related
functional
magnetic
resonance
imaging
(fMRI)
activation
patterns
in
young
adults
have
been
proposed
as
biomarkers
of
healthy
neurocognitive
aging.
Here,
we
tested
utility
these
potential
diagnostic
prognostic
markers
Alzheimer’s
disease
(AD)
risk
states
like
mild
cognitive
impairment
(MCI)
subjective
decline
(SCD).
To
this
end,
analyzed
subsequent
memory
fMRI
data
individuals
SCD,
MCI,
AD
dementia
well
controls
(HC)
first-degree
relatives
patients
(AD-rel)
who
participated
multi-center
DELCODE
study
(N
=
468).
Based
on
individual
participants’
whole-brain
novelty
responses,
calculated
FADE
SAME
assessed
their
association
stage,
neuropsychological
test
scores,
CSF
amyloid
positivity,
ApoE
genotype.
Memory-based
showed
a
considerably
larger
reference
sample
MCI
groups
compared
to
HC,
SCD
AD-rel.
In
addition,
novelty-based
significantly
differed
between
groups.
Across
entire
sample,
single-value
correlated
performance.
The
score
further
Aβ-positive
Aβ-negative
AD-rel,
ε4
carriers
non-carriers
Hence,
are
associated
both
performance
factors
for
AD.
Their
warrants
exploration,
particularly
patients.
Science Bulletin,
Journal Year:
2024,
Volume and Issue:
69(10), P. 1536 - 1555
Published: March 6, 2024
Recent
advances
in
open
neuroimaging
data
are
enhancing
our
comprehension
of
neuropsychiatric
disorders.
By
pooling
images
from
various
cohorts,
statistical
power
has
increased,
enabling
the
detection
subtle
abnormalities
and
robust
associations,
fostering
new
research
methods.
Global
collaborations
imaging
have
furthered
knowledge
neurobiological
foundations
brain
disorders
aided
imaging-based
prediction
for
more
targeted
treatment.
Large-scale
magnetic
resonance
initiatives
driving
innovation
analytics
supporting
generalizable
psychiatric
studies.
We
also
emphasize
significant
role
big
understanding
neural
mechanisms
early
identification
precise
treatment
However,
challenges
such
as
harmonization
across
different
sites,
privacy
protection,
effective
sharing
must
be
addressed.
With
proper
governance
science
practices,
we
conclude
with
a
projection
how
large-scale
resources
could
revolutionize
diagnosis,
selection,
outcome
prediction,
contributing
to
optimal
health.
Frontiers in Aging Neuroscience,
Journal Year:
2023,
Volume and Issue:
15
Published: Nov. 29, 2023
Cognitive
impairments,
such
as
learning
and
memory
deficits,
may
occur
in
susceptible
populations
including
the
elderly
patients
who
are
chronically
ill
or
have
experienced
stressful
events,
surgery,
infection,
trauma.
Accumulating
lines
of
evidence
suggested
that
peripheral
inflammation
featured
by
recruitment
immune
cells
release
pro-inflammatory
cytokines
be
activated
during
aging
these
conditions,
participating
system-brain
communication.
Lots
progress
has
been
achieved
deciphering
core
bridging
mechanism
connecting
cognitive
which
helpful
developing
early
diagnosis,
prognosis
evaluation,
prevention
methods
based
on
blood
circulation
system
sampling
intervention.
In
this
review,
we
summarized
evolving
prevalence
inflammation-associated
neurocognitive
impairments
discussed
research
advances
underlying
mechanisms.
We
also
highlighted
treatment
strategies
against
dysfunction.
Brain,
Journal Year:
2024,
Volume and Issue:
147(11), P. 3789 - 3803
Published: May 14, 2024
Abstract
Single-value
scores
reflecting
the
deviation
from
(FADE
score)
or
similarity
with
(SAME
prototypical
novelty-related
and
memory-related
functional
MRI
activation
patterns
in
young
adults
have
been
proposed
as
imaging
biomarkers
of
healthy
neurocognitive
ageing.
Here,
we
tested
utility
these
potential
diagnostic
prognostic
markers
Alzheimer’s
disease
(AD)
risk
states
like
mild
cognitive
impairment
(MCI)
subjective
decline
(SCD).
To
this
end,
analysed
subsequent
memory
data
individuals
SCD,
MCI
AD
dementia
well
controls
first-degree
relatives
patients
(AD-rel)
who
participated
multi-centre
DELCODE
study
(n
=
468).
Based
on
individual
participants’
whole-brain
novelty
responses,
calculated
FADE
SAME
assessed
their
association
stage,
neuropsychological
test
scores,
CSF
amyloid
positivity
APOE
genotype.
Memory-based
showed
a
considerably
larger
reference
sample
groups
compared
to
controls,
SCD
AD-rel.
In
addition,
novelty-based
significantly
differed
between
groups.
Across
entire
sample,
single-value
correlated
performance.
The
score
further
Aβ-positive
Aβ-negative
AD-rel,
ApoE
ɛ4
carriers
non-carriers
Hence,
are
associated
both
performance
factors
for
AD.
Their
warrants
exploration,
particularly
patients.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(9), P. 5926 - 5939
Published: July 27, 2024
Abstract
INTRODUCTION
Subjective
cognitive
decline
(SCD)
in
amyloid‐positive
(Aβ+)
individuals
was
proposed
as
a
clinical
indicator
of
Stage
2
the
Alzheimer's
disease
(AD)
continuum,
but
this
requires
further
validation
across
cultures,
measures,
and
recruitment
strategies.
METHODS
Eight
hundred
twenty‐one
participants
from
SILCODE
DELCODE
cohorts,
including
normal
controls
(NC)
with
SCD
recruited
community
or
memory
clinics,
underwent
neuropsychological
assessments
over
up
to
6
years.
Amyloid
positivity
derived
positron
emission
tomography
plasma
biomarkers.
Global
change
analyzed
using
linear
mixed‐effects
models.
RESULTS
In
combined
stratified
Aβ+
showed
steeper
diminished
practice
effects
compared
NC
Aβ−
SCD.
These
findings
were
confirmed
different
operationalizations
amyloid
positivity,
settings.
DISCUSSION
German
Chinese
populations
greater
global
could
be
targeted
for
interventional
trials.
Highlights
predicts
decline.
This
finding
does
not
rely
on
specific
operationalization.
is
patients
clinics.
valid
both
populations.
older
adults
target
population
Frontiers in Neuroscience,
Journal Year:
2025,
Volume and Issue:
19
Published: Feb. 13, 2025
Purpose
Subjective
cognitive
decline
(SCD)
is
an
early
manifestation
of
the
Alzheimer’s
disease
(AD)
continuum,
and
accurately
diagnosing
SCD
to
differentiate
it
from
neurotypical
aging
in
older
adults
a
common
challenge
for
researchers.
Methods
This
review
examines
summarizes
relevant
studies
regarding
neuroimaging
AD
comprehensively
outlines
clinical
features
characterizing
along
with
corresponding
changes
involving
structural,
functional,
metabolic
networks.
Results
The
characteristics
include
subjective
self-perceived
function,
there
are
significant
imaging
changes,
such
as
reductions
gray
matter
volume
certain
brain
regions,
abnormalities
integrity
white
tracts
diffusion
metrics,
alterations
functional
connectivity
between
different
sub-networks
or
within
networks,
well
networks
cerebral
blood
flow
perfusion.
Conclusion
147
referenced
this
paper
indicate
that
exploring
network
related
through
aims
enhance
goals
mission
science
development
programs:
“Understanding
Brain,”
“Protecting
“Creating
thereby
strengthening
researchers’
investigation
into
mechanisms
function.
Early
diagnosis
SCD,
prompt
intervention,
can
reduce
incidence
spectrum
while
improving
patients’
quality
life,
even
integrating
numerous
scientific
research
achievements
unified
established
standards
applying
them
practice
by
doctors,
thus
all
encouraging
researchers
further
investigate
issues
adults.
Communications Biology,
Journal Year:
2025,
Volume and Issue:
8(1)
Published: March 25, 2025
Neuronal
hyperexcitation
affects
memory
and
neural
processing
across
the
Alzheimer's
disease
(AD)
cognitive
continuum.
Levetiracetam,
an
antiepileptic,
shows
promise
in
improving
impairment
by
restoring
excitation/inhibition
balance
AD
patients.
We
previously
identified
a
hyper-excitable
phenotype
cognitively
unimpaired
female
APOE-ε4
carriers
relative
to
male
counterparts
cross-sectionally.
This
sex
difference
lacks
longitudinal
validation;
however,
clarifying
vulnerability
of
ε4-carriers
could
better
inform
antiepileptic
treatment
efficacy.
Here,
we
investigated
this
sex-by-ε4
interaction
using
design.
used
resting-state
fMRI
diffusion
tensor
imaging
collected
longitudinally
from
106
participants
who
were
for
at
least
one
scan
event
but
may
have
been
assessed
clinical
dementia
ratings
corresponding
early
mild
over
time.
By
including
events
where
transitioned
impairment,
modeled
trajectory
whole-brain
excitation-inhibition
ratio
throughout
preclinical
healthy
continuum
extended
impairment.
A
linear
mixed
model
revealed
significant
three-way
among
sex,
ε4-status,
time,
with
showing
trajectory.
These
findings
suggest
possible
pathway
preventative
therapy
targeting
ε4-carriers.
Longitudinal
connectome
modeling
individuals
reveals
hyperexcitable
carriers.
Findings
anti-excitatory
therapies
mitigate
risk.
Frontiers in Public Health,
Journal Year:
2023,
Volume and Issue:
11
Published: Dec. 1, 2023
Background
Subjective
cognitive
decline
(SCD)
is
considered
a
preclinical
stage
of
Alzheimer’s
disease.
However,
reliable
prevalence
estimates
SCD
in
the
Chinese
population
are
lacking,
underscoring
importance
such
metrics
for
policymakers
to
formulate
appropriate
healthcare
strategies.
Objective
To
systematically
evaluate
among
older
adults.
Methods
PubMed,
Web
Science,
The
Cochrane
Library,
Embase,
CNKI,
Wanfang,
VIP,
CBM,
and
Airiti
Library
databases
were
searched
studies
on
individuals
published
before
May
2023.
Two
investigators
independently
screened
literature,
extracted
information,
assessed
bias
risk
included
studies.
A
meta-analysis
was
then
conducted
using
Stata
16.0
software
via
random-effects
model
analyze
Results
total
17
(n
=
31,782).
adults
46.4%
(95%
CI,
40.6–52.2%).
Further,
subgroup
analyzes
indicated
that
50.8%
men
58.9%
women.
Additionally,
aged
60–69,
70–79,
≥
80
years
38.0,
45.2,
60.3%,
respectively.
Furthermore,
with
BMI
<18.5,
18.5–24.0,
>
24.0
59.3,
54.0,
52.9%,
Geographically,
41.3%
North
China
50.0%
South
China.
In
terms
residence,
47.1%
urban
residents
rural
residents.
As
retired
individuals,
44.2%
non-manual
workers
49.2%
manual
workers.
case
education,
an
education
level
“elementary
school
below”
had
rate
62.8%;
“middle
school,
“52.4%;
“high
“55.0%;
“college
above,
“51.3%.
Finally,
lower
married
surviving
spouses
than
single
who
divorced,
widowed,
or
unmarried.
Conclusion
Our
systematic
review
identified
significant
widespread
Therefore,
our
findings
highlight
urgent
requirement
medical
institutions
across
all
levels
prioritize
rapidly
develop
implement
comprehensive
preventive
therapeutic
strategies
SCD.
Systematic
registration
:
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023406950
,
identifier:
CRD42023406950.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(10), P. 7048 - 7061
Published: Aug. 12, 2024
Abstract
INTRODUCTION
The
spatial
and
temporal
patterns
of
cortical
mean
diffusivity
(cMD),
as
well
its
association
with
Alzheimer's
disease
(AD)
suspected
non‐Alzheimer's
pathophysiology
(SNAP),
are
not
yet
fully
understood.
METHODS
We
compared
baseline
(
n
=
617)
longitudinal
changes
421)
cMD,
thickness,
gray
matter
volume
their
relations
to
vascular
risk
factors,
amyloid
beta
(Aβ),
tau
positron
emission
tomography
(PET),
cognitive
decline
in
Aβ
PET
negative
positive
older
adults.
RESULTS
cMD
increases
were
more
sensitive
detecting
brain
structural
alterations
than
thinning
atrophy.
Tau‐related
partially
mediated
Aβ‐related
AD,
whereas
disease‐related
increased
levels
substantially
age‐related
SNAP.
DISCUSSION
These
findings
revealed
the
dynamic
microstructural
macrostructural
indicators
associations
AD
SNAP,
providing
novel
insights
into
understanding
upstream
downstream
events
neurodegenerative
disease.
Highlights
Cortical
(cMD)
was
factors.
beta–related
(AD).
White
hyperintensity–related
higher
mainly
explained
(SNAP).
may
assist
tracking
earlier
signs
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 11, 2024
Abstract
Background
Amyloid
spreads
throughout
the
cortex
in
Alzheimer's
disease
(AD),
which
is
thought
to
cause
disturbances
brain
networks.
It
not
clear
how
structural
and
functional
connectivity
change
as
amyloid
accumulates
progressively
across
cortical
stages
individuals
with
subjective
cognitive
decline
(SCD),
a
risk
condition
for
AD.
Methods
Graph-theoretic
analyses
of
networks
were
performed
using
resting-state
magnetic
resonance
imaging
diffusion
tensor
100
SCD
86
normal
controls
(NC)
derived
from
an
ongoing
large
cohort
study.
Topological
properties
at
node
network
levels
characterized
indicators
information
exchange
efficiency
robustness.
burden
was
quantified
subset
55
by
positron
emission
tomography
frequency-based
staging
method,
yielding
mean
regional
standardized
uptake
value
ratios
(SUVr)
four
anatomical
divisions
global
SUVr
entire
cortex,
further
correlated
topological
property
measures.
Results
Individuals
showed
increased
nodal
betweenness
left
anterior
median
cingulate
gyri
compared
NC.
No
group
differences
network-level
found.
Frequency-based
revealed
divisions,
including
fusiform
lateral
temporal
(>
50%),
occipital
areas
(30%-50%),
default
mode
network,
midline
frontotemporal
(10%-30%),
remaining
(<
10%).
Global
positively
associated
node-level
set
hubs,
posterior
being
congruently
all
stages.
Conclusion
cingulate,
unchanged
effectiveness
or
robustness
complex
network.
In
this
at-risk
population,
progressive
accumulation
continuously
influences
adaptation
via
irrespective
local
physical
proximity
pathology.
The
positive
associations
between
suggest
increasing
processing
hubs
during
early
deposition
population
disease.